Provider Demographics
NPI:1225542590
Name:TOPA SOCIAL GARDEN INC
Entity Type:Organization
Organization Name:TOPA SOCIAL GARDEN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SERGEY
Authorized Official - Middle Name:
Authorized Official - Last Name:YERMAKOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-916-9468
Mailing Address - Street 1:151 W 128TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-3010
Mailing Address - Country:US
Mailing Address - Phone:917-916-9468
Mailing Address - Fax:
Practice Address - Street 1:151 W 128TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-3010
Practice Address - Country:US
Practice Address - Phone:917-916-9468
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-25
Last Update Date:2017-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care